Provider Demographics
NPI:1750939872
Name:MCELHANEY MEDICAL VENTURES, LLC
Entity type:Organization
Organization Name:MCELHANEY MEDICAL VENTURES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:HUNT
Authorized Official - Last Name:MCELHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-709-8132
Mailing Address - Street 1:3225 CUMBERLAND BLVD SE STE 100
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6408
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3225 CUMBERLAND BLVD SE STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6408
Practice Address - Country:US
Practice Address - Phone:770-293-8080
Practice Address - Fax:770-293-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-02
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty